Certified Member Renewal Form - State Bar Of Nevada
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1Return completed form to:
Bar No.:
State Bar of Nevada
Member Services
Attorney Name:
3100 W. Charleston Blvd.
Suite 100
Date: ______________________________________
Las Vegas, NV 89102
I am certified under SCR 49.10
Limited practice of attorneys employed in government or as in-house
counsel. Please complete and sign the section below.
As a condition of your annual certification renewal with the State Bar of Nevada, you are required to certify to the State Bar of
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Nevada that:
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(1) The attorney is still employed by the same employer that submitted the affidavit required under subsection 2(c) of this
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rule;
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(2) The attorney has complied with the continuing education requirements prescribed for active members of the State Bar
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of Nevada; and
(3) The attorney is still in good standing before the courts before which the attorney has been admitted to practice.
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I ____________________________________________ do hereby certify that I am still employed by the same employer that
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submitted the affidavit under subsection 2(c) of SCR 49.10; I have complied with the continuing education requirements
prescribed for active members of the State Bar of Nevada and; I am in good standing before the courts before which I have
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been admitted to practice.
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Attorney Signature
Employer Name
I am certified under SCR 49.1, SCR 49.4, SCR 49.6, SCR 49.8, SCR 49.9, or SCR 49.11
Please
complete and sign the section below.
As a condition of your annual certification renewal with the State Bar of Nevada, you are required to provide the following
information.
A statement signed by your employer that you remain employed
A certificate of good standing from any jurisdiction in which you are licensed no older than 30 days.
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Certification stating you have complied with all continuing education requirements as prescribed for active members
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of the State Bar of Nevada.
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Employer Certification
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I, __________________________________________, hereby certify ____________________________________________
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print employer name
print certified member’s name
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remains employed by____________________________________________________________.
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print company name
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Employer Signature
Employer Title
Date
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Attorney Certification
I, _______________________________________________, hereby certify I am in compliance with all Continuing Education
print your name
requirements as prescribed for active members of the State Bar of Nevada.
Attorney Signature
Date Signed
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